Patterns of gun deaths across US counties 1999-2013

Annals of Epidemiology
Bindu Kalesan, Sandro Galea

Abstract

We examined the socio-demographic distribution of gun deaths across 3143 counties in 50 United States' states to understand the spatial patterns and correlates of high and low gun deaths. We used aggregate counts of gun deaths and population in all counties from 1999 to 2013 from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (WONDER). We characterized four levels of gun violence, as distinct levels of gun death rates of relatively safe, unsafe, violent, and extremely violent counties, based on quartiles of 15-year county-specific gun death rates per 100,000 and used negative binomial regression models allowing clustering by state to calculate incidence rate ratios and 95% confidence intervals (95% CIs). Most states had at least one violent or extremely violent county. Extremely violent gun counties were mostly rural, poor, predominantly minority, had high unemployment rate and homicide rate. Overall, homicide rate was significantly associated with gun deaths (incidence rate ratios = 1.08, 95% CI = 1.06-1.09). In relatively safe counties, this risk was 1.09 (95% CI = 1.05-1.13) and in extremely violent gun counties was 1.03 (95% CI = 1.03-1.04). There are broad differences i...Continue Reading

Citations

Mar 6, 2019·Neurosurgical Focus·R John Hurlbert
Jul 31, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Michael SiegelDavid Hemenway
Jan 21, 2020·Annals of Internal Medicine·Renee ButkusUNKNOWN Health and Public Policy Committee of the American College of Physicians
Jul 21, 2020·The Journal of Surgical Research·Bindu KalesanFeng Li
Apr 11, 2021·The Journal of Surgical Research·Sarah J DittmerAndrew C Bernard
Apr 24, 2019·Journal of Vascular Surgery·Jeffrey J SiracuseBindu Kalesan
Oct 9, 2021·BMC Public Health·Sae TakadaFrederick J Zimmerman
Nov 23, 2021·JAMA Pediatrics·Jefferson T BarrettEric W Fleegler

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